MEDICARE: SHINE GROUP INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1609477603
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHINE GROUP INC.

Provider Business Mailing Address
First Line	:	10200 E GIRARD AVE STE B450
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-5638
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10200 E GIRARD AVE STE B450
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-5638
Country	:	US
Telephone Number	:	720-308-1230
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NATHAN MILLER
Credential	:
Telephone Number	:	720-308-1230

Provider Enumeration Date	:	11/05/2020
Last Update Date	:	02/20/2026

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Directions to “SHINE GROUP INC. ” Practice Location

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